MacDougall H
Department of History, University of Waterloo, Canada.
Genitourin Med. 1994 Feb;70(1):56-63. doi: 10.1136/sti.70.1.56.
The history of sexually transmitted diseases in Canada from 1800 to the present reflects the changing views and values of citizens, medical experts, politicians and bureaucrats. During the colonial period, the military devoted attention to the problem but strict moral codes and social conventions prevented public discussion. Although middle class reformers began to pressure the federal government for funding and direction after 1900, World War I was the catalyst for involvement. Health education through a voluntary group and federal-provincial cost-shared funding for treatment facilities across Canada were introduced to control STDs. Public perception of STD patients as marginalised or deviant limited the impact of these efforts. Social changes during the 1960s, new STDs appearing in the 1970s and the AIDS epidemic of the 1980s have redirected the STD campaign to focus on high risk groups and prevention rather than the moralistic curative efforts of the past.
从1800年至今,加拿大性传播疾病的历史反映了公民、医学专家、政治家和官僚们不断变化的观点和价值观。在殖民时期,军方关注这一问题,但严格的道德规范和社会习俗阻碍了公开讨论。1900年以后,尽管中产阶级改革者开始向联邦政府施压,要求提供资金和指导,但第一次世界大战才是促使政府介入的催化剂。通过一个志愿组织开展健康教育,并在联邦和省级层面共同出资,为加拿大各地的治疗机构提供资金,以控制性传播疾病。公众将性传播疾病患者视为边缘化或行为异常的人,这限制了这些努力的影响。20世纪60年代的社会变革、70年代出现的新型性传播疾病以及80年代的艾滋病疫情,使性传播疾病防治运动的重点转向了高危人群和预防,而不是过去那种道德层面的治疗努力。